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SanaVita Therapy LLC

Details

Name: SanaVita Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 17 Jun 2024 (5 months ago)
Entity Number: 001-141-147
Register Number: 001141147
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 2344 VALLEYDALE ROAD SUITE BBIRMINGHAM, AL 35244
Registered Office Street Address ZIP Code: 35244
Registered Office Mailing Address: 2312 MOUNTAIN RUNBIRMINGHAM, AL 35244
Registered Office Mailing Address ZIP Code: 35244

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275361248 2024-07-22 2024-07-22 2312 MOUNTAIN RUN, BIRMINGHAM, AL, 352441930, US 2344 VALLEYDALE ROAD, SUITE B, BIRMINGHAM, AL, 35244, US

Contacts

Phone +1 205-775-7757

Authorized person

Name RICHARD DALE FALLIN
Role OWNER
Phone 2057757757

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
RICHARD FALLIN Agent 2344 VALLEYDALE ROAD SUITE BBIRMINGHAM, AL 35244

Organizer

Name Role Address
RICHARD FALLIN Organizer 2344 VALLEYDALE ROAD SUITE BBIRMINGHAM, AL 35244

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State